Saturday, January 7, 2012

Angina Ludovici

Angina Ludovici

ETIOLOGY
- Serious area neck an infection about the submandibular, submental, as well as sublingual places
- Typically odontogenic throughout origin (molars mostly) and immunocompromised (diabetics)
- Blended cardiovascular and anaerobic etiology

SYMPTOMS/EXAM
- Brawny induration with the flooring of the mouth (traditional)
- Bilateral puffiness
- Pain, edema, trismus, and drooling
- Dysphonia as well as dysphagia
- Tongue displaces posteriorly as well as superiorly, which might trigger airway give up
- Temperature, dangerous look

ANALYSIS
- Clinical
- Think about later neck X-ray or CT together with IV distinction, if doubtful

TREATMENT
- Basic steps, as always!
- ICU entry
- IV antibiotics (PCN or perhaps cephalosporin plus clindamycin)
-  consult: Cut and water flow for patients along with abscess as well as upcoming complications or even failure to reply to anti-biotics

ISSUES
- Throat blockage
- File format involving disease may take place, causing mediastinitis, intracranial disease, or even IJ thrombophlebitis

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